DIANE LACKEY (NPI# 1679529762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679529762 |
| Entity Type | Individual |
| Full Name | DIANE LACKEY |
| Credential | SW |
| Practice Address |
1401 S 4th St Phila PA 19147-5907 |
| Mailing Address |
432 N 6th St Phila PA 19123-4004 |
| Practice Telephone | 2153391079 |
| Mailing Telephone | 2159252400 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | SW003075 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1401 S 4TH ST |
| City | PHILA |
| State | PA |
| Zip Code | 19147-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225084411 | Michel Bien-aime | Psychiatry & Neurology | 1401 S 4th St, 4th Floor, Phila, PA 19147-5948 | 2006-05-26 |
| 1225078066 | Charles Johnson | Psychologist | 1401 S 4th St, Phila, PA 19147-5907 | 2006-06-08 |
| 1689614422 | Maggie Lyons-johnson | Counselor | 1401 S 4th St, Phila, PA 19147-5907 | 2006-06-08 |
| 1487600789 | George Timbers | Social Worker | 1401 S 4th St, Phila, PA 19147-5907 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508336181 | Jamica Cropper-pam | Counselor | 401 S 2nd St. Suite 301, Philadelphia, PA 19147 | 2018-11-27 |
| 1598234411 | Halina Dziewolska | Behavioral Analyst | 535 Queen Street, Philadelphia, PA 19147 | 2018-11-20 |
| 1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
| 1487120218 | Christopher Michael Rosado | Behavioral Analyst | 1218-20 South 8th St, 1, Philadelphia, PA 19147 | 2018-10-19 |
| 1891271722 | Candice Millard | Dietitian, Registered | 419 S 8th St Apt 1b, Philadelphia, PA 19147 | 2018-07-13 |
| 1669998217 | Julianne Leonarda Wiebalk | Counselor | 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 | 2017-08-16 |
| 1396269247 | Sara Parente | Social Worker | 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 | 2017-08-02 |
| 1609398445 | Nikele Riek | Social Worker | 1348 Bainbridge Street, Philadelphia, PA 19147 | 2017-07-13 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1194196105 | Ann Courto | Dietitian, Registered | 1140 Cross Street, Philadelphia, PA 19147 | 2015-10-16 |
| Find all providers in zip 19147 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639532864 | Deborah Harris-white | Social Worker | 7602 Brockton Rd, Phila, PA 19151-2826 | 2016-04-04 |
| 1205101441 | Larita Jackson Lee | Social Worker | 3623 Wallace St, Phila, PA 19104-1932 | 2012-03-21 |
| 1356628655 | Francis Adjei Kyem | Social Worker | 1120 Lindley Ave, Phila, PA 19141-3542 | 2011-11-15 |
| 1194974071 | Chavonne Cassandra Niangane | Social Worker | 5445 Oakland St, Phila, PA 19124-1210 | 2008-09-16 |
| 1134391568 | Katherine Victoria Jrateh | Social Worker | 7545 Malvern Ave, Phila, PA 19151-2815 | 2008-03-26 |
| 1114198025 | S.g. Isaacs Enterprises, Inc. | Social Worker | 823 Magee Ave, Phila, PA 19111-4811 | 2008-03-19 |
| 1538359351 | Harry Aponte Sr. | Social Worker | 3451 N 6th St, Phila, PA 19140-4561 | 2007-07-27 |
| 1720687742 | Sherita Gardner | Social Worker | 3900 Woodland Ave, Sw122, Phila, PA 19104-4594 | 2020-10-21 |
| 1720637184 | Albert George Parks Jr. | Social Worker | 8220 Castor Ave, Phila, PA 19152-2729 | 2019-09-09 |
| 1750891107 | Angel Minor | Social Worker | 8220 Castor Ave, Phila, PA 19152-2729 | 2017-10-11 |
| Find all providers in PHILA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.